PMID- 29239727
OWN - NLM
STAT- MEDLINE
DCOM- 20181031
LR  - 20181031
IS  - 1879-1476 (Electronic)
IS  - 0385-8146 (Linking)
VI  - 45
IP  - 4
DP  - 2018 Aug
TI  - Clinical effects of submucosal middle turbinectomy for eosinophilic chronic 
      rhinosinusitis.
PG  - 765-771
LID - S0385-8146(17)30212-2 [pii]
LID - 10.1016/j.anl.2017.11.013 [doi]
AB  - OBJECTIVE: The preservation or resection of the middle turbinate (MT) during 
      endoscopic sinus surgery (ESS) currently remains a matter of debate. The present 
      study aimed to investigate the effects of submucosal middle turbinectomy (SMT) in 
      ESS for eosinophilic chronic rhinosinusitis (ECRS). METHODS: The study included 
      38 ECRS patients (63 sides) who had undergone full-house ESS with SMT and 20 ECRS 
      patients (40 sides) without SMT as a control group. Post-operative middle 
      turbinate lateralization (MTL), synechia formation, and the patency grade of the 
      olfactory cleft (OC) were assessed as the primary outcomes 3 months after 
      surgery. CT scans and the T&T test were performed on the SMT group 3 months after 
      surgery and assessed as secondary outcomes. RESULTS: MTL and synechia formation 
      rates were slightly higher in the control group than in the SMT group (20% vs. 
      7.9%, p=0.072, 17.5% vs. 9.5%, p=0.235), although neither reached statistically 
      significance. The mean patency score of OC was significantly better in the SMT 
      group than in the control group (0.5+/-0.6 vs. 1.3+/-0.7, <0.001). CT findings and 
      T&T test scores showed good improvements after SMT combined with ESS. No major 
      adverse events occurred due to SMT. CONCLUSION: We demonstrated the potential 
      advantages of SMT for ECRS patients. This method may avoid physiological 
      functional loss through its preservation of the mucosa and structure of the MT.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Akiyama, Kosuke
AU  - Akiyama K
AD  - Department of Otolaryngology, Faculty of Medicine, Kagawa University, Kita-gun, 
      Miki-cho, Ikenobe 1750-1, Kagawa 761-0793, Japan. Electronic address: 
      kakaka@med.kagawa-u.ac.jp.
FAU - Samukawa, Yasushi
AU  - Samukawa Y
AD  - Department of Otolaryngology, Faculty of Medicine, Kagawa University, Kita-gun, 
      Miki-cho, Ikenobe 1750-1, Kagawa 761-0793, Japan.
FAU - Takahashi, Satoshi
AU  - Takahashi S
AD  - Department of Otolaryngology, Faculty of Medicine, Kagawa University, Kita-gun, 
      Miki-cho, Ikenobe 1750-1, Kagawa 761-0793, Japan.
FAU - Ouchi, Youhei
AU  - Ouchi Y
AD  - Department of Otolaryngology, Faculty of Medicine, Kagawa University, Kita-gun, 
      Miki-cho, Ikenobe 1750-1, Kagawa 761-0793, Japan.
FAU - Hoshikawa, Hiroshi
AU  - Hoshikawa H
AD  - Department of Otolaryngology, Faculty of Medicine, Kagawa University, Kita-gun, 
      Miki-cho, Ikenobe 1750-1, Kagawa 761-0793, Japan.
LA  - eng
PT  - Journal Article
DEP - 20171126
PL  - Netherlands
TA  - Auris Nasus Larynx
JT  - Auris, nasus, larynx
JID - 7708170
SB  - IM
MH  - Adult
MH  - Aged
MH  - Chronic Disease
MH  - Endoscopy
MH  - Eosinophilia/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nasal Septum/diagnostic imaging
MH  - Nasal Surgical Procedures/*methods
MH  - Natural Orifice Endoscopic Surgery
MH  - Otorhinolaryngologic Surgical Procedures/methods
MH  - Postoperative Complications/diagnostic imaging/*epidemiology
MH  - Prospective Studies
MH  - Rhinitis/*surgery
MH  - Sinusitis/*surgery
MH  - Tissue Adhesions/diagnostic imaging/epidemiology
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
MH  - Turbinates/diagnostic imaging/*surgery
OTO - NOTNLM
OT  - Endoscopic sinus surgery
OT  - Eosinophilic chronic rhinosinusitis
OT  - Lateralization
OT  - Middle turbinate
OT  - Synechia formation
EDAT- 2017/12/15 06:00
MHDA- 2018/11/01 06:00
CRDT- 2017/12/15 06:00
PHST- 2017/03/01 00:00 [received]
PHST- 2017/10/02 00:00 [revised]
PHST- 2017/11/14 00:00 [accepted]
PHST- 2017/12/15 06:00 [pubmed]
PHST- 2018/11/01 06:00 [medline]
PHST- 2017/12/15 06:00 [entrez]
AID - S0385-8146(17)30212-2 [pii]
AID - 10.1016/j.anl.2017.11.013 [doi]
PST - ppublish
SO  - Auris Nasus Larynx. 2018 Aug;45(4):765-771. doi: 10.1016/j.anl.2017.11.013. Epub 
      2017 Nov 26.